Bill To:


Donald Davis
27133 Hillsdale St Lot 17
Lebanon, MO 65536

Services Rendered To:


Donald Davis
27133 Hillsdale St Lot 17
Lebanon, MO 65536


*** Please Submit this to your PROPERTY/HOMEOWNER Insurance Company for processing and payment OR YOU MAY CONTACT OUR OFFICE AND PROVIDE US WITH YOUR INSURANCE INFORMATION FOR PROCESSING. ***

Product
Price
Qty
Amount
  1. 102 Engine Response (Per Hour)

    $350.00
    1.5
    $525.00
  2. 306 Hose Per 50′ (Amt Used)

    $25.00
    5
    $125.00

  3. Additional Incident Info

    Incident Type: Structure Fire Response

    Incident Location: 27133 Hillsdale Rd Lebanon, MO 65536

Subtotal $650.00
Total Due $650.00


Updated
May 8, 2023 @ 11:13 am

Invoice updated by Geoffrey.

Status Update
May 8, 2023 @ 11:13 am

Status changed: Draft to Pending.

Updated
August 9, 2023 @ 11:37 am

Invoice updated by Geoffrey.

Updated
August 23, 2023 @ 10:55 am

Invoice updated by Geoffrey.